Introduction to Addictive Behaviors, Third Edition

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Dennis L. Thombs, PhD, FAAHB, is Associate Professor in the Department of Health Education and Behavior at the University of Florida. The focus of his scholarship is addictive behavior, with special interests in the epistemology of addiction and in alcohol and drug use during the period of emerging adulthood. Dr. Thombs’s research has been supported by the National Institute on Alcohol Abuse and Alcoholism. He is a Fellow in the American Academy of Health Behavior.

CHAPTER 1 The Multiple Conceptions of Addictive Behavior and Professional Practice Today

1

(17)

Conceptions of Addiction in U.S. History

1

(3)

Addiction as Immoral Conduct

4

(2)

Addiction as Disease

6

(2)

Addiction as Maladaptive Behavior

8

(1)

The Need for Theory

9

(1)

What Exactly Is a Theory?

10

(1)

Attributes of a Good Theory

11

(1)

The Dissemination of Evidence-Based Practice

12

(2)

Effective Prevention and Treatment Programs

14

(2)

Purpose of the Book

16

(1)

Review Questions

17

(1)

CHAPTER 2 The Disease Models

18

(36)

Different Disease Conceptions

19

(1)

Tolerance and Withdrawal

20

(1)

Addiction as a Primary Disease

21

(2)

Genetic Origins of Addiction: The Susceptibility Model

23

(14)

Effects of Drugs on Brain Structure and Function: The Exposure Model

37

(5)

Loss of Control

42

(2)

Addiction as a Progressive Disease

44

(4)

Addiction as a Chronic Disease

48

(1)

Denial

49

(1)

Strengths of the Disease Models

50

(1)

Weaknesses of the Disease Models

51

(1)

Review Questions

52

(2)

CHAPTER 3 Public Health and Prevention Approaches

54

(47)

What Is Public Health?

54

(6)

Healthy People 2010: The National Health Priorities on Tobacco, Alcohol, and Drug Use

60

(1)

Public Health Surveillance of Substance Abuse

60

(7)

Age of Onset and the Gateway Hypothesis

67

(4)

Types of Prevention Programs and Strategies

71

(13)

Community Coalition Building

84

(2)

Results from Community Intervention Trials

86

(9)

The Participatory Research Approach

95

(1)

The Community Mobilization Approach

96

(2)

Current U.S. Drug Control Policy and the Prospects of a Public Health Approach